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RADIOLOGY: HEPATOBILIARY: Case# 33761: HEPATOCELLULAR CARCINOMA. 67-year-old male with history of liver cancer. According to the patient he is status post resection three years ago and now has mass which was found a couple of months ago on a CT done at an outside facility. 1. Fairly extensive disease involving the right lobe of liver. 2. Ill-defined lesion seen in inferior part of the right lobe posterior segment. There are a few smaller lesions around the main area. In the presence of portal vein thrombus which is likely a tumor thrombus and questionable history of cirrhosis, hepatocellular carcinoma is likely although metastatic disease cannot be ruled out. This would be unlikely for metastatic tumor to involve the portal vein. 2. Tumor thrombus involving the portal vein. 3. Free fluid in the pelvis. 4. Renal cyst on the right. 5. 1.2cm aortocaval lymph node seen on image 40.

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Peter Anderson
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